NPI 1215197447

Mathew James Boyle

Practitioner Lodging Provider Portage, MI

Practice location

Address: 7921 Julie Dr, Portage, MI 49024-4921
Phone: (269) 323-1780
Fax: (269) 323-1780

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence AF390281086 (MI)

Other Lodging providers in Michigan →

Registry record

NPI: 1215197447
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2008
Record last updated: 11 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.